Provider Demographics
NPI:1679506869
Name:HLIBCZUK, VERONICA MARIA (MD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:MARIA
Last Name:HLIBCZUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 W 168 STREET PH 1-137
Mailing Address - Street 2:ASSOCIATED IN EMERGENCY SERVICES/CUMC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3784
Mailing Address - Country:US
Mailing Address - Phone:212-305-2995
Mailing Address - Fax:212-305-6792
Practice Address - Street 1:622 W 168 STREET PH 1-137
Practice Address - Street 2:COLUMBIA UNIVERSITY MED CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3784
Practice Address - Country:US
Practice Address - Phone:212-305-2995
Practice Address - Fax:212-305-6792
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2023-03-30
Deactivation Date:2006-07-19
Deactivation Code:
Reactivation Date:2006-11-16
Provider Licenses
StateLicense IDTaxonomies
NY21311207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02096977Medicaid
H26764Medicare UPIN
NY02096977Medicaid